Prostatectomy or XRT?

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Zap

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Here is a link to a news story regarding an interesting study presented at ASCO: http://www.cancerpage.com/news/article.asp?id=10967

The authors left out that if a patient's urologist was owner of a URORAD center, 100% of patients got XRT. ;-)

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...The study of more than 85,000 men aged 65 and older with prostate cancer that had not yet spread uncovered a strong correlation between physician type and treatment.

If a man's doctor happens to be a urologist, for example, the recommendation for men under 70 most often will be surgery -- 70 percent of the time. For men over 75 who saw only a urologist, the choice was watchful waiting or hormone therapy in 91 percent of the patients.

But if they saw both a urologist and a radiation oncologist, 78 percent of younger men and 85 percent of older men got radiation therapy...
 
the data they mentioned in the article are not surprising...

since urologists are the gatekeepers to these patients, they would prefer to operate on younger, healthy patients...while referring older, medically unfit pts for RT. that mantra probably holds true today...but patients are becoming more savvy (internet, etc) and are finding out additional treatment options...for better or for worse (cryo, rfa, etc).
 
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